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Biomedical subjects

P J Handal

Publications and source records attributed to P J Handal.

At least 19 recordsLinked to original sources

Perceived family environment and adjustment in American-born and immigrant Asian adolescents.

57 immigrant Asian adolescents were compared with 44 American-born adolescents of Asian descent to investigate differences in perceived family environment and adjustment. Immigrant Asian adolescents were significantly less adjusted, perceived significantly less independence and achievement orientation and significantly more organization in their families than their American-born peers. The family environment differences, unlike adjustment differences, persisted over length of time in the host country (USA).

Acculturation↗

The relationship of child adjustment to husbands' and wives' marital distress, perceived family conflict, and mothers' occupational status.

Measures of marital distress, perceived family conflict, and child adjustment were obtained from 74 pairs of husbands and wives with at least one child age 6 to 12 in order to determine the relationship between wives' occupational status, marital distress, family conflict, and child adjustment. Results revealed a strong and significant relationship between husbands' and wives' perceived family conflict and child maladjustment. No significant main effects or interactions were found between mothers' occupational status, or husbands' or wives' marital distress and child adjustment. The results support the downward extension to children of the previously reported relationship between perceived family conflict and adolescent adjustment.

Adult↗

Perceived family functioning among adolescent psychiatric inpatients: validity of the family-of-origin scale.

The Family-of-Origin Scale (FOS) is a 40 item, ten subscale self-report instrument designed to assess perceptions of family health. The scale, based on the dimensions of Autonomy and Intimacy, has demonstrated reliability and validity with adolescents. The FOS was administered to 100 adolescent psychiatric inpatients concurrently with the Brief Symptom Inventory (BSI) to examine the scale's discriminant and construct validity. When compared with 100 non-clinical adolescents, the psychiatric inpatients perceived their family as less healthy on all FOS dimensions. Perceived family health on the FOS was negatively and moderately correlated with the BSI dimensions. The findings provide psychometric and clinical support for the FOS with adolescents.

Adolescent↗

Family conflict and adolescent adjustment in intact, divorced, and blended families.

This study examined two contrasting views of how parental marital status relates to the long-term adjustment of children. The physical wholeness position views divorce and subsequent remarriage and the blending of families as salient explanatory variables that adversely affect children's later adjustment through the physical dissolution of the nuclear family; the psychological wholeness position views perceived current family conflict as the critical variable that influences adjustment, regardless of parental marital status. Results of analyses on White adolescents (N = 917) fail to support the physical wholeness position; rather, results support the psychological wholeness position. Adolescents' adjustment was related to level of perceived family conflict.

Adaptation, Psychological↗

A preliminary comparison of healthy elderly and young adults on the SUNYA Revision of the Psychosomatic Symptom Checklist.

Elderly (n = 30) and young (n = 30) subjects, equated in terms of general physical health, education and depression, were compared in terms of Total, Frequency and Intensity scores on the psychosomatic symptom checklist (PSC). Elderly subjects scored significantly lower than young subjects for both PSC Total and PSC Intensity scores. These results call into question the practice of aggregating PSC data from age heterogeneous samples and indicate the importance of reporting all three PSC scores.

Adolescent↗

Age differences in body consciousness.

Physical changes associated with the aging process have both private and public components, and this study investigated the degree to which elderly persons attend to these changes. Sixty subjects, elderly (n = 30) and young (n = 30), equated in terms of physical health, education, and depression, were compared on measures of private body consciousness, public body consciousness, and body competence. Results indicated that healthy elderly persons are more conscious of their external physical appearance and are more positive in their self-evaluations of body competence than are young subjects.

Adolescent↗

The paradox of psychiatric deinstitutionalization: historical perspective and policy implications.

Deinstitutionalization has, in effect, resulted in the creation of new forms of asylum for the mentally ill. Rather than being generated in a planful, humanitarian manner, the reduction in the census of state hospitals has been governed by federal health and welfare programs not designed for the mentally ill. By relying upon Medicaid and SSI, states were able to shift their financial burden for the mentally ill to the federal government. Reliance upon Medicaid has resulted in nursing homes playing a major role in psychiatric care. SSI stipends are not adequate to cover rising housing costs--even in low-income areas. As a result, large numbers of the mentally ill are among the populations of homeless persons in the United States.

Deinstitutionalization↗

Incidence of utilization of public mental health facilities as a function of short-term economic decline.

Analysis of the incidence of utilization of public mental health facilities during a 6-year time span yielded a significant relationship between lower occupational status and utilization of inpatient facilities. Further analysis revealed a significant relationship between education and utilization of outpatient facilities. Both of the findings held for 6 to 9 months after the beginning of economic decline.

Adult↗

The use of the AML scale with a headstart population: normative and validation studies.

The use of the AML with 584 4-year-old children in a Headstart program was investigated. The AML was found to be a reliable and valid instrument to use as a means of identifying emotional and learning problems. Normative data in this study were very similar to that previously found for kindergartners. Sex differences were found on almost all items requiring separate analyses for males and females. The A scale and total score contributed most to the identification of emotional disturbance in females. For males, however, the M scale and total score were most helpful. Mentally retarded males and the learning-disabled children could best be identified using the L scale. The use of a 90th centile cutoff method was found to be an easy and accurate means of identification.

Child, Preschool↗

Methadone treatment: program evaluation and dose response relationships.

Data from a heterogeneous group of 155 clients in a Methadone Treatment Program were analyzed for (A) number of possible methadone administrations since S joined the program, (B) actual number of methadone administrations received, (C) spottiness (A-B), and (D) presence of illicit drugs in urine analysis reports. Data were evaluated for three separate time spans which corresponded with three programmatic changes. Results indicate that initially high blockading doses of methadone are effective in reducing illicit drug use, but as length of time in program increases, the efficacy of low doses of methadone in reducing illicit drug use increases. At least one programmatic change, a more stringent selection procedure, was demonstrated to be highly successful in reducing illicit drug use.

Adolescent↗